Remote Mainframe Tester with Healthcare claims - Columbia

Position: Healthcare Data Engineer with Enrollment & Claims Exp · Duration: 6 Months to Hire (GC and USC only) · Location: Remote but candidate must be located and can work only from below states · Approved States · Alabama · Alaska · Arizona · Arkansas · Florida · Georgia · Idah ...

Position: Healthcare Data Engineer with Enrollment & Claims Exp · Duration: 6 Months to Hire (GC and USC only) · Location: Remote but candidate must be located and can work only from below states · Approved States · Alabama · Alaska · Arizona · Arkansas · Florida · Georgia · Idah ...

Healthcare Analytics Consultant at Careignition. · We are hiring a Healthcare Analytics Consultant for a customer-facing role that combines analytics, client support, and internal problem solving. · ...

Responsibilities & Duties:Claims Processing and Assessment: · Evaluate incoming claims to determine eligibility, coverage, and validity. · Conduct thorough investigations, including reviewing medical records and other relevant documentation. · Analyze policy provisions and contra ...

The Healthcare Paralegal Specialist role will support attorneys by reviewing claim files, compiling factual summaries, identifying key documents and facilitating legal analysis regarding liability, potential defenses, exposure valuations, and settlement strategies. · ...

This is an excellent opportunity for a certified medical coder seeking a high-impact role with potential for long-term employment. · ...

The Health Insurance Claims Specialist role will support attorneys by reviewing claim files compiling factual summaries identifying key documents and facilitating legal analysis regarding liability potential defenses exposure valuations and settlement strategies This role can be ...

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your cont ...

This position is in the Medicaid Fraud Control Unit (MFCU) within the District of Columbia Office of the Inspector General (OIG). The MFCU is a Unit responsible for investigating and prosecuting cases involving healthcare fraud by providers in the District Medicaid program and ab ...

We are seeking a Functional Testing Analyst for our FACETS Healthcare domain project. The ideal candidate will have strong experience in Facets Testing, team leading experience, and good stakeholder management skills. · Solid hands-on experience in Facets Testing · Exposure to th ...

The Manager of ACO healthcare economics supports financial, analytical, and operational functions related to Advanced Care Innovations' ACO and value-based care programs. · Support analytics and reporting needs related to medical trends, utilization, cost, and financial performan ...

Provides subject-matter expertise for Cigna's Out-of-Network (OON) Protection Programs, including the Network Savings Program (NSP) and Bill Negotiation Services (BNS). Serves as a shared service supporting all Cigna platforms in achieving OON goals. · Oversees program administra ...

Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. · ...

The Revenue Cycle Management (RCM) Supervisor oversees insurance and patient billing for all locations, clinician credentialing, training team members, tracking progress, identifying process gaps, and supporting benefit verifications. · Ensure accurate client onboarding and maint ...

We are seeking a Business Data Analyst with a strong background in large-scale data applications data analysis and transformation to support enterprise-level initiatives in the Healthcare insurance domain. · The ideal candidate will bring hands-on expertise in SQL data mapping an ...

Careignition is a healthcare analytics company that helps employers understand how healthcare is priced and paid. · Work directly with customers to answer questions and support use of our analytics platform · Respond to ad hoc analytical requests related to healthcare pricing and ...

Company Overview · Healthcare Legal Solutions, LLC is a fast-growing healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems nationwide. Our team is collaborative, mission-driven, and focused on r ...

We are seeking a highly skilled and experienced Senior Medical Billing Manager to oversee and enhance our medical billing operations. · ...

AaraTech Inc is seeking a Healthcare QA Analyst to ensure the quality, accuracy, and reliability of healthcare applications and data systems. · ...

+We offer an exciting work environment, competitive compensation and strong growth potential.+ · +An Associate's Degree or Bachelor's Degree is preferred. · RN required. · + · +Assess the quality of physician reports ensuring they meet all client and jurisdictional standards spec ...

The Healthcare Paralegal Specialist role will support attorneys by reviewing claim files, compiling factual summaries, identifying key documents and facilitating legal analysis regarding liability, potential defenses, · exposure valuations,and settlement strategies.Familiarity wi ...